Covenant Care Ohio, Inc.
NPI #1497743256 in Port Clinton, Ohio
Provider Information
- NPI Number
- 1497743256
- Entity Type
- Organization
- Organization Name
- Covenant Care Ohio, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 6, 2005
- Last Updated
- Oct 28, 2008
Practice Location
- Address
- 1330 FULTON ST
- City
- Port Clinton
- State
- Ohio
- ZIP Code
- 43452-9297
- Phone
- (419) 734-5506
Authorized Official
- Name
- CAROL A SPARKS
- Title
- DIRECTOR OF REIMBURSEMENT
- Phone
- (949) 349-1200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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